1内蒙古医科大学附属医院泌尿外科 010020 呼和浩特; 2内蒙古医科大学附属医院超声科通讯作者:张军,hswhtl@126.com收稿日期:2015-05-18 [摘要] 目的:探讨髓质海绵肾合并结石的诊断与微创治疗。方法:回顾性分析2例髓质海绵肾合并结石患者的临床资料并文献复习。结果:2例患者均行经皮肾镜碎石术,取出大部分结石。1例术后肾功能恢复正常,1例合并远端肾小管酸中毒者无泌尿系感染发生。结论:髓质海绵肾合并结石早期患者,可予以保守治疗,当因结石并发明显梗阻或者感染时,则应积极引流、抗感染,采取经皮肾镜碎石治疗,近期疗效满意。 [关键词] 髓质海绵肾;肾结石;经皮肾镜碎石术 [中图分类号] R692 [文献标识码] A [文章编号] 2095-5146(2015)06-357-02Percutaneous nephrolithotripsy in the treatment of medullary sponge kidney: 2 case reports and a literature reviewZhang Jun1 Sharen Gaowa; 2(1Department of Urology, Inner Mongolia Medical University Affiliated Hospital, Hohhot 010020,China; ; 2Department of Ultrasound, Inner Mongolia Medical University Affiliated Hospital)Corresponding author: Zhang Jun, hswhtl@126.com Abstract Objective:To study the diagnosis and minimally invasive treatment of medullary sponge kidney. Methods:The clinical data of 2 cases of medullary sponge kidney were analyzed retrospectively and relative literatures were reviewed. Results:Two patients were treated with percutaneous nephrolithotripsy. Renal functions recovered to the normal level after operation in one patient, and another case complicated with distal renal tubular acidosisurinary had no tract infection. Conclusions:Treatment with percutaneous nephrolithotripsy is effective in preventing renal stones with significant obstruction and infection in patients with medullary sponge kidney.Key words medullary sponge kidney; renal calculi; percutaneous nephrolithotripsy
Percutaneous nephrolithotripsy in the treatment of medullary sponge kidney: 2 case reports and a literature review
Zhang Jun1, Sharen Gaowa2
1Department of Urology, Inner Mongolia Medical University Affiliated Hospital, Hohhot 010020,China; 2Department of Ultrasound, Inner Mongolia Medical University Affiliated Hospital
Abstract：Objective: To study the diagnosis and minimally invasive treatment of medullary sponge kidney. Methods: The clinical data of 2 cases of medullary sponge kidney were analyzed retrospectively and relative literatures were reviewed. Results: Two patients were treated with percutaneous nephrolithotripsy. Renal functions recovered to the normal level after operation in one patient, and another case complicated with distal renal tubular acidosisurinary had no tract infection. Conclusions: Treatment with percutaneous nephrolithotripsy is effective in preventing renal stones with significant obstruction and infection in patients with medullary sponge kidney.
张军,沙仁高娃. 经皮肾镜碎石术治疗髓质海绵肾合并结石2例及文献复习[J]. 微创泌尿外科杂志, 2015, 4(6): 357-358.
Zhang Jun , Sharen Gaowa. Percutaneous nephrolithotripsy in the treatment of medullary sponge kidney: 2 case reports and a literature review. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2015, 4(6): 357-358.
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